1447414537 NPI number — MRS. PAIGE ELLEN NIELSEN-MAYER MSN, CNM, NP-C

Table of content: MRS. PAIGE ELLEN NIELSEN-MAYER MSN, CNM, NP-C (NPI 1447414537)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447414537 NPI number — MRS. PAIGE ELLEN NIELSEN-MAYER MSN, CNM, NP-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NIELSEN-MAYER
Provider First Name:
PAIGE
Provider Middle Name:
ELLEN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MSN, CNM, NP-C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BIAS-CORBETT
Provider Other First Name:
PAIGE
Provider Other Middle Name:
E
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MSN, CNM, NP-C
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1447414537
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/18/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9031 CLYDESDALE RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CASTLE ROCK
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80108-9102
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-898-6375
Provider Business Mailing Address Fax Number:
866-252-8162

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8375 WILLOW ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LONE TREE
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80124-2837
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-898-6375
Provider Business Practice Location Address Fax Number:
866-252-8162
Provider Enumeration Date:
07/17/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 367A00000X , with the licence number:  CNM5866 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X , with the licence number: 5514 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 20534736 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".




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